Cuyahoga County, Ohio · Nursing home
Greenbrier Health Center
2 of 5 overall from CMS
6455 Pearl Rd, Parma Heights, OH 44130
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.21 hours Below the state average of 3.69
- Nursing staff who left in a year 50.8% Above the state average of 48.7%
- Health citations, last 3 inspection cycles 54 2 at the harm level or above
- Fines in 3 years $26,685 1 fine
- Certified beds in use 73.2% of 162 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Greenbrier Health Center is a 162-bed nursing home in Parma Heights, Ohio (Cuyahoga County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.21 nurse staffing hours per resident per day, below the Ohio average of 3.69. CMS lists 1 fine totaling $26,685 in the past three years.
- Certified beds
- 162
- Residents per day (average)
- 118.6
- Certified since
- 1968 (58 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Communicare Health (110 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Greenbrier Health Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $26,685 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 23 health deficiencies in the latest inspection cycle (the standard inspection on Oct 8, 2025 plus complaint and infection-control inspections); the Ohio average is 10.5. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 50.8%, above the Ohio average of 48.7%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Ohio average 3.2
- Health inspections 1 of 5 Ohio average 2.8
- Staffing 2 of 5 Ohio average 2.4
- Quality measures 5 of 5 Ohio average 4.4
The vertical line marks the Ohio average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.21 h Ohio average 3.69
- Nurse aides 1.82 h Ohio average 2.09
- Licensed practical nurses 0.91 h Ohio average 0.95
- Registered nurses 0.48 h Ohio average 0.64
- All staff, weekends 2.94 h Ohio average 3.28
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Ohio average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover50.8%
- Ohio average48.7%
- Registered nurse turnover33.3%
- Ohio average43.9%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Ohio and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 4.0% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.8% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.5% | 0.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 39.7% | 30.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.1% | 92.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 3.4% | 6.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.7% | 25.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.0% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.6% | 21.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 7.8% | 8.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.73 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 36.1% | 78.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 37.5% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.5% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 15.0% | 12.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 54 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 36 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 8, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Oct 8, 2025 | 23 | 2 |
| Oct 26, 2023 | 12 | 1 |
| Feb 13, 2020 | 19 | 17 |
Ohio homes averaged 10.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (54)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 4, 2025)
-
FPotential for more than minimal harm, widespread
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 4, 2025)
-
FPotential for more than minimal harm, widespread
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Nov 4, 2025)
-
FPotential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 4, 2025)
-
FPotential for more than minimal harm, widespread
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 4, 2025)
Show 25 more
-
FPotential for more than minimal harm, widespread
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Nov 4, 2025)
-
EPotential for more than minimal harm, pattern
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights · Deficient, Provider has date of correction (Nov 4, 2025)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 4, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 4, 2025)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Nov 4, 2025)
-
EPotential for more than minimal harm, pattern
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 4, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Nov 4, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 13, 2025)
-
DPotential for more than minimal harm, isolated
Plan the resident's discharge to meet the resident's goals and needs.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 20, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Aug 21, 2024)
-
EPotential for more than minimal harm, pattern
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 15, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 15, 2024)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Aug 15, 2024)
-
DPotential for more than minimal harm, isolated
Prepare residents for a safe transfer or discharge from the nursing home.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 30, 2024)
Showing the 30 most recent of 54.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 8, 2025 | Fine | $26,685 |
Ohio homes averaged 0.6 fines and $26,381 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Ohio
- Size30 of 922 by certified beds
- Ohio average residents per day73.7
- ChainCommunicare Health
- Chain average overall rating3.2 of 5
- Resident or family councilResident
- Homes in Cuyahoga County92
Common questions
What is the CMS star rating for Greenbrier Health Center?
Greenbrier Health Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 5.
How many beds does Greenbrier Health Center have?
Greenbrier Health Center has 162 certified beds. It averages 118.6 residents per day, about 73.2% of its certified beds.
How much nursing care do residents get at Greenbrier Health Center?
The home reports 3.21 hours of nurse staffing per resident per day, including 0.48 hours from registered nurses. The Ohio average is 3.69 hours and 0.64 hours from registered nurses.
Has Greenbrier Health Center been fined?
Yes. CMS lists 1 fine totaling $26,685 in the past three years.
Does Greenbrier Health Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 East Park Care Center 57beds 87.7%in use 3.08nurse hours a day
- 4 of 5 Royal Oak Nursing & Rehab Ctr 99beds 60.0%in use 3.31nurse hours a day
- 5 of 5 North Park Care Center 34beds 91.2%in use 4.25nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Cuyahoga County
Who to call in Ohio
These offices serve residents of every nursing home in Ohio.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-282-1206 An advocate for residents and their families.
- File a complaint about a nursing home Complaint Unit 1-800-342-0553 The state agency that inspects nursing homes.
Ohio staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 365192. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.